ANAESTHESIA AND INTENSIVE CARE LECTURES,PROCEDURES CASE DISCUSSIONS AND OTHER TOPICS IN ANAESTHESIA AIMED AT PRACTISING ANAESTHETISTS AND RESIDENTS

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The contents of this blog are solely meant for information & education purpose only.These may be the basis of actual treatment, but not necessarily. Information from other websites and journals are also included. So the author is not responsible for any inaccuracy,loss, or damage that may arise due to the use of these informations published here. I do respect copyright & always give credits to the original author(s) and thankful to them. Inspite of my utmost effort and care there can be human error. If anyone finds any violation of copyright please inform me at anesthesiatoday@gmail.com and necessary action will be taken soon as possible. My blog is also non-commercial.

Wednesday, January 27, 2010

30 yr old ASA I patient was scheduled for lipoma excision. Anaesthesia was induced with propofol, fentanyl and oxygen mask with nitrous oxide and sevoflurane. A classic LMA was introduced subsequently with IPPV by hand as the patient remained apneic.Desaturation and high airway pressure followed by difficulty in ventilation . The LMA was removed and mask ventilation commenced which rectified the problem. Again on reinsertion of the same LMA resulted in difficulty of ventilation and absent ETCO2 tracings.A proseal LMA was then inserted and anaesthesia went uneventful. On careful examination of the lumen of the classic LMA revealed an impacted living foreign body, a beetle which might have crawled in, the prepared LMA from the induction room

COCKROACHES, SPIDERS AND CENTIPEDES BEING THE COMMON LIVING CREATURES FOUND IN ANAESTHESIA CIRCUITS. EVENTHOUGH IT IS COMMON THAT LIVING FOREIGN BODIES CAN ENTER INTO ANAESTHESIA CIRCUITS, IT IS QUITE UNCOMMON TO FIND THEM IN ANAESTHESIA MACHINE.WATCH THIS INTERESTING PHOTOGRAPH WHERE YOU CAN SEE A LIVING FOREIGN BODY IN FOW METER

ROUTINE CHECK FOR ANAESTHETIC BREATHING SYSTEMS IS MANDATORY BEFORE INDUCING ANAESTHESIA AS THESE LIVING FOREIGN BODIES CAN BE AN UNCOMMON CAUSE FOR BREATHING CIRCUIT OCCLUSION, AND THEREBY CAUSING HYPOXIA AND SOMETIMES MAKE YOU THINK OF THE POSSIBILITY OF SEVERE BRONCHOSPASM OR PNEUMOTHORAX IN VIEW OF HIGH AIRWAY PRESSURE AND RAPID DESATURATION .

CHECK OUT THE FOLLOWING LINK FOR A REPORTED CASE OF OBSTRUCTION OF LMA BY A LIVING FOREIGN BODY,A NEMATODE FROM PATIENT'S OWN INTESTINE DURING ANAESTHESIA

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About Me

DR.M KHAN SHERIEF,MBBS, DA, DNB.
POST GRADUATION IN ANAESTHESIOLOGY AND INTENSIVE CARE FROM THE PRESTIGIOUS MEDICAL COLLEGE KOTTAYAM,KERALA,INDIA AND PRESENTLY WORKING AS ANAESTHESIOLOGIST AND MEDICAL DIRECTOR AT LIFELINE HOSPITAL SOHAR,SULTANATE OF OMAN